検索結果 1586 件
| フルテキストURL | SciRep_8_1_17906.pdf |
|---|---|
| 著者 | Muraoka, Yuji| Nagao, Hiroki| Yao, Yuichiro| Wakita, Takanori| Terashima, Kensei| Yokoya, Takayoshi| Kumigashira, Hiroshi| Oshima , Masaharu| |
| 発行日 | 2018-12 |
| 出版物タイトル | Scientific Reports |
| 巻 | 8巻 |
| 号 | 1号 |
| 出版者 | Nature Publishing Group |
| 開始ページ | 17906 |
| ISSN | 2045-2322 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 論文のバージョン | publisher |
| PubMed ID | 30559393 |
| DOI | 10.1038/s41598-018-36281-8 |
| Web of Science KeyUT | 000453444900003 |
| 関連URL | isVersionOf https://doi.org/10.1038/s41598-018-36281-8 |
| JaLCDOI | 10.18926/AMO/56937 |
|---|---|
| フルテキストURL | 73_4_349.pdf |
| 著者 | Isozaki, Hiroshi| Yamamoto, Yasuhisa| Murakami, Shigeki| Matsumoto, Sasau| Takama, Takehiro| |
| 抄録 | To clarify the surgical outcomes of breast cancer patients with a preoperative diagnosis of ductal carcinoma in situ (DCIS) by core needle biopsy (CNB) (abbreviated as CNBDCIS), we retrospectively analyzed the cases of 131 patients with CNBDCIS who underwent surgery at Oomoto Hospital (32 total mastectomies, 99 conservative mastectomies). Our analysis of underestimation and predictors of invasive breast cancer of CNBDCIS revealed that the underestimation rate of CNBDCIS was 40.5% (53/131). A logistic regression analysis revealed that palpable tumors (yes to no, odds ratio [OR] 3.25), mammography (MMG) category group (category 4 or 5 to categories 1 , 2, or 3, OR 4.69) and MMG microcalcifications (no to yes, OR 0.24) were significant predictive factors for CNBDCIS invasion. In our analysis of the predictors of positive margins during CNBDCIS surgery, 36 (27.5%) of the 131 patients had positive margins after postoperative pathological examination. A logistic regression analysis revealed that the operative procedure (conservative surgery to total mastectomy, OR 21.4) and MMG microcalcifications (yes to no, OR 3.35) were significant factors related to positive margins during CNBDCIS surgery. Thus, MMG microcalcifications are a negative predictor of upgrading of CNBDCIS and a positive predictor of positive surgical margins for CNBDCIS. |
| キーワード | ductal carcinoma in situ core needle biopsy underestimation positive margins microcalcifications on mammography |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2019-08 |
| 巻 | 73巻 |
| 号 | 4号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 349 |
| 終了ページ | 356 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2019 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 31439958 |
| JaLCDOI | 10.18926/AMO/56934 |
|---|---|
| フルテキストURL | 73_4_325.pdf |
| 著者 | Ueno, Tsuyoshi| Maki, Yuho| Sugimoto, Ryujiro| Suehisa, Hiroshi| Yamashita, Motohiro| Harada, Daijiro| Kozuki, Toshiyuki| Nogami, Naoyuki| |
| 抄録 | Therapeutic approaches to bronchopleural fistula (BPF) closure after lung resection are surgical or endoscopic interventions. We evaluated therapeutic outcomes to determine the optimal approach. We reviewed 15 patients who had developed BPF after lung resection for thoracic malignant diseases at our institution in the 10 years since 2008. The patients were 11 men and 4 women (mean age 68 years). We performed one pneumonectomy, 6 lobectomies, 7 segmentectomies, and one partial resection for malignant diseases. The median interval from lung resection to the BPF diagnosis was 46 days. The BPF-associated mortality rate was 26.7% (4/15). The rate of successful BPF closure was 66.6% (10/15). The endoscopic and surgical intervention success rates were 14.2% (1/7) and 69.2% (9/13), respectively (p<0.01). Of 5 patients who had failed BPF treatments, 4 died, and one transferred out without BPF closure. The therapeutic outcomes were related to preoperative comorbidities, performance status at the BPF diagnosis, time intervals from lung resection to BPF diagnosis, and presence of active pneumonia. The difference between endoscopic and surgical outcomes was nonsignificant, although the surgical intervention success rate was somewhat higher. The selection of endoscopic or surgical intervention for BPF does not significantly affect therapeutic outcomes. |
| キーワード | bronchopleural fistula endoscopic intervention surgical intervention |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2019-08 |
| 巻 | 73巻 |
| 号 | 4号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 325 |
| 終了ページ | 331 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2019 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 31439955 |
| JaLCDOI | 10.18926/AMO/56932 |
|---|---|
| フルテキストURL | 73_4_307.pdf |
| 著者 | Takahashi, Sho| Akagi, Teiji| Toh, Norihisa| Takaya, Yoichi| Nakagawa, Koji| Nishii, Nobuhiro| Ito, Hiroshi| |
| 抄録 | The follow-up of patients with adult congenital heart disease (ACHD) at a specialized medical unit is necessary for the patients’ appropriate medical care. However, limited information is available about cardiovascular events among ACHD patients. Here we investigated the type and frequency of cardiovascular events in ACHD patients in relation to disease complexity. We retrospectively analyzed the cases of 535 patients (median age 35 years) referred to our ACHD center between 2014 and 2017. We divided the patients into 3 groups based on their disease complexity. To evaluate the relationship between disease complexity and cardiovascular events, we performed univariate and multivariate survival analyses. The Simple, moderate, and complex disease groups accounted for 62%, 19%, and 19% of the patients, respectively. Apart from events related to atrial septal defect (ASD) trans-catheter treatment, the frequency of cardiovascular events was dependent on the disease complexity (event-free survival rates at 3 years were 85%, 65%, and 58%, respectively). The hazard ratios were 4.0 and 5.1 in the moderate and complex groups, respectively. With the exception of scheduled transcatheter intervention, cardiovascular events were strongly related to the disease complexity of original heart disease. However, cardiovascular events were not rare even in the simple ACHD group. |
| キーワード | congenital heart defect congenital in adults hospitalization cardiovascular event |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2019-08 |
| 巻 | 73巻 |
| 号 | 4号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 307 |
| 終了ページ | 313 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2019 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 31439953 |
| フルテキストURL | NatCom_10_1_3022.pdf |
|---|---|
| 著者 | Belay, Iyasu Getachew| Tanaka, Ryoji| Kitagawa, Hiroshi| Kobayashi, Katsura| Nakamura, Eizo| |
| 発行日 | 2019-07 |
| 出版物タイトル | Nature Communications |
| 巻 | 10巻 |
| 号 | 1号 |
| 出版者 | Springer Nature Publishing AG |
| 開始ページ | 3022 |
| ISSN | 20411723 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © The Author(s) 2019 |
| 論文のバージョン | publisher |
| PubMed ID | 31289264 |
| DOI | 10.1038/s41467-019-10832-7 |
| Web of Science KeyUT | 000474506700008 |
| 関連URL | isVersionOf https://doi.org/10.1038/s41467-019-10832-7 |
| JaLCDOI | 10.18926/AMO/56650 |
|---|---|
| フルテキストURL | 73_2_147.pdf |
| 著者 | Hayashi, Masao| Taniguchi, Arata| Kaku, Ryuji| Fujimoto, Shusaku| Isoyama, Satoshi| Manabe, Sei| Yoshida, Tsubasa| Suzuki, Satoshi| Shimizu, Kazuyoshi| Morimatsu, Hiroshi| Momota, Ryusuke| |
| 抄録 | Tachycardia is common in intensive care units (ICUs). It is unknown whether tachycardia or prolonged tachycardia affects patient outcomes. We investigated the association between tachycardia and mortality in critically ill patients. This retrospective cohort study’s primary outcome was patient mortality in the ICU and the hospital. We stratified the patients (n=476) by heart rate (HR) as LowHR, MediumHR, and HighHR groups. We also stratified them by their durations of HR >100 (prolonged HR; tachycardia): MildT, ModerateT, and SevereT groups. We determined the six groups’ mortality. The ICU mortality rates of the LowHR, MediumHR, and HighHR groups were 1.0%, 1.5%, and 7.9%, respectively; significantly higher in the HighHR vs. LowHR group. The in-hospital mortality rates of these groups were 1%, 4.5%, and 14.6%, respectively; significantly higher in the HighHR vs. LowHR group. The ICU mortality rates of the MildT, ModerateT, and SevereT groups were 0.9%, 5.6%, and 57.1%, respectively. The mortality of the HRT=0 (i.e., all HR ≤ 100) patients was 0%. The in-hospital mortality rates of the MildT, ModerateT, and SevereT groups were 1.8%, 16.7%, and 85.7%, respectively; that of the HRT=0 patients was 0.5%. Both higher HR and prolonged tachycardia were associated with poor outcomes. |
| キーワード | tachycardia mortality ICU in-hospital |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2019-04 |
| 巻 | 73巻 |
| 号 | 2号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 147 |
| 終了ページ | 153 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2019 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 31015749 |
| タイトル（別表記） | The 2017 Incentive Award of the Okayama Medical Association in Neuroscience (2017 Niimi Prize) |
|---|---|
| フルテキストURL | 130_109.pdf |
| 著者 | 水木 寛| |
| 出版物タイトル | 岡山医学会雑誌 |
| 発行日 | 2018-12-03 |
| 巻 | 130巻 |
| 号 | 3号 |
| 開始ページ | 109 |
| 終了ページ | 111 |
| ISSN | 0030-1558 |
| 関連URL | references https://doi.org/10.3390/ijms18010067 |
| 言語 | 日本語 |
| 著作権者 | Copyright (c) 2018 岡山医学会 |
| 論文のバージョン | publisher |
| DOI | 10.4044/joma.130.109 |
| NAID | 130007542880 |
| JaLCDOI | 10.18926/bgeou/56531 |
|---|---|
| タイトル（別表記） | Learning Noh and Kyogen Based on Okayama’s Folk Tales |
| フルテキストURL | bgeou_170_061_069.pdf |
| 著者 | 山本 宏子| 根岸 啓子| 根岸 弘| |
| 抄録 | 我が国の音楽文化を理解するために，どのような授業が望ましいであろうか。山本は，2004 年から能笛演奏家の根岸啓子（博士・東京藝術大学，岡山大学非常勤講師）と教材開発の共同研究を行ってきた。根岸は，2008 年から2010 年まで，岡山大学短期留学プログラムEPOKの受講生を対象に能の授業をおこなった。山本と根岸は2006 年に国際交流基金の助成を受け，アメリカのウイスコンシン大学やイリノイ大学，在シカゴ日本総領事館広報文化センターなどで，アメリカ人を対象に能のワークショップをおこなった。その後，学習院女子中・高等科元国語科教員及び学習院大学教職課程元兼任講師の根岸弘が，教材研究に加わった。教材の元としたのは，2004 年刊『読みがたり 岡山のむかし話』（岡山県小学校国語教育研究会編／日本標準）である。2016 年から2018 年にわたり根岸啓子が岡山大学教養教育「能楽入門」で実際に使用した，岡山の民話に基づいた能・狂言の創作劇の台本の一部を，本稿の末尾に掲載しておいた。なお，演目名には識別しやすくするために〈 〉，創作能・創作狂言には《 》を付したことを記す。この試みは，学校教育における能楽の新たな授業方法を提言するものと考えている。 |
| キーワード | 能楽（能・狂言） 身体表現 コミュニケーション 創作劇台本 |
| 出版物タイトル | 岡山大学大学院教育学研究科研究集録 |
| 発行日 | 2019-02-22 |
| 巻 | 170巻 |
| 開始ページ | 61 |
| 終了ページ | 69 |
| ISSN | 1883-2423 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120006583689 |
| JaLCDOI | 10.18926/AMO/56462 |
|---|---|
| フルテキストURL | 73_1_77.pdf |
| 著者 | Morita, Mio| Matsumoto, Hiroshi| Shirakawa, Yasuhiro| Noma, Kazuhiro| Tanabe, Shunsuke| Kimata, Yoshihiro| |
| 抄録 | Anterior cervical plate fixation is a common surgical treatment for cervical spine trauma, disc herniation, or cervical spondylosis. Esophageal perforation following anterior cervical plate fixation is a rare but serious complication. Management of esophageal perforation is controversial; however, we suggest treating most cases surgically because this condition is slow to heal and often fatal. We managed 2 cases of esophageal perforation following anterior cervical plate fixation by flap reconstruction with the pectoralis major muscle in one case and a jejunal free flap in the other. Here, we report our experience and review the surgical indications. |
| キーワード | anterior cervical plate fixation esophageal perforation reconstruction pectoralis major flap jejunal free flap |
| Amo Type | Case Report |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2019-02 |
| 巻 | 73巻 |
| 号 | 1号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 77 |
| 終了ページ | 80 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2019 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 30820058 |
| JaLCDOI | 10.18926/AMO/56460 |
|---|---|
| フルテキストURL | 73_1_67.pdf |
| 著者 | Kono, Reika| Shimizu, Takehiro| Ohtsuki, Hiroshi| Hamasaki, Ichiro| Shibata, Kiyo| Kishimoto, Fumiko| Morizane, Yuki| Shiraga, Fumio| |
| 抄録 | We report a case of congenital multiple ocular motor nerve palsy combined with splitting of the lateral rectus muscle (LR). A 59-year-old Japanese female was investigated for worsening esotropia after corrective surgery. She presented with left hypertropia (35Δ) and esotropia (45-50Δ). Orbital magnetic resonance imaging (MRI) showed reduced belly sizes in the superior rectus, inferior rectus, and superior oblique muscles and splitting of the LR, extending from the origin to the belly, in the left eye. Splitting of the LR belly was detected on MRI in a case of congenital multiple ocular motor nerve palsy. |
| キーワード | multiple ocular motor nerve palsy congenital cranial dysinnervation disorder lateral rectus muscle splitting orbital connective tissue magnetic resonance imaging |
| Amo Type | Case Report |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2019-02 |
| 巻 | 73巻 |
| 号 | 1号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 67 |
| 終了ページ | 70 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2019 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 30820056 |
| JaLCDOI | 10.18926/AMO/56454 |
|---|---|
| フルテキストURL | 73_1_15.pdf |
| 著者 | Shioji, Naohiro| Kanazawa, Tomoyuki| Iwasaki, Tatsuo| Shimizu, Kazuyoshi| Suemori, Tomohiko| Kuroe, Yasutoshi| Morimatsu, Hiroshi| |
| 抄録 | We compared the reintubation rate in children who received high-flow nasal cannula (HFNC) therapy to the rate in children who received noninvasive ventilation (NIV) therapy for acute respiratory failure (ARF) after cardiac surgery. This was a retrospective analysis of 35 children who received HFNC therapy for ARF after cardiac surgery in 2014-2015 (the HFNC group). We selected 35 children who had received NIV therapy for ARF after cardiac surgery in 2009-2012 as a control group. The matching parameters were body weight and risk adjustment for congenital heart surgery category 1. The reintubation rate within 48 h in the HFNC group tended to be lower than that in the NIV group (3% vs. 17%, p=0.06). The reintubation rate within 28 days was significantly lower in the HFNC group compared to the NIV group (3% vs. 26%, p=0.04). The HFNC group’s ICU stays were significantly shorter than those of the NIV group: 10 (IQR: 7-17) days vs. 17 (11-32) days, p=0.009. HFNC therapy might be associated with a reduced reintubation rate in children with ARF after cardiac surgery. |
| キーワード | high-flow nasal cannula noninvasive ventilation reintubation congenital heart disease acute respiratory failure |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2019-02 |
| 巻 | 73巻 |
| 号 | 1号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 15 |
| 終了ページ | 20 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2019 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 30820050 |
| JaLCDOI | 10.18926/okadai-bun-kiyou/56398 |
|---|---|
| タイトル（別表記） | A Study on the Distribution and the Variety of Otaue : Centering around Records and Reports of Administrative Surveys |
| フルテキストURL | jfl_070_031_042.pdf |
| 著者 | 髙野 宏| |
| 出版物タイトル | 岡山大学文学部紀要 |
| 発行日 | 2018-12-21 |
| 巻 | 70巻 |
| 開始ページ | 31 |
| 終了ページ | 42 |
| ISSN | 0285-4864 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120006545988 |
| タイトル（別表記） | Introduction of the dessin class in medical education：Sublimation from dessin to art |
|---|---|
| フルテキストURL | 130_81.pdf |
| 著者 | 大塚 益美| 松本 洋| 木股 敬裕| |
| 出版物タイトル | 岡山医学会雑誌 |
| 発行日 | 2018-08-01 |
| 巻 | 130巻 |
| 号 | 2号 |
| 開始ページ | 81 |
| 終了ページ | 84 |
| ISSN | 0030-1558 |
| 関連URL | isVersionOf https://doi.org/10.4044/joma.130.81 |
| 言語 | 日本語 |
| 著作権者 | Copyright (c) 2018 岡山医学会 |
| 論文のバージョン | publisher |
| DOI | 10.4044/joma.130.81 |
| NAID | 130007481043 |
| JaLCDOI | 10.18926/AMO/56381 |
|---|---|
| フルテキストURL | 72_6_611.pdf |
| 著者 | Tsunoda, Koichi| Kobayashi, Rika| Kada, Akiko| Saito, Akiko M.| Misawa, Hayato| Horibe, Keizo| Goto, Fumiyuki| Tsunoda, Atsunobu| Sasaki, Toru| Takanosawa, Minako| Nishino, Hiroshi| Kondoh, Kenji| Sugiyama, Yoichiro| Hisa, Yasuo| |
| 抄録 | The oropharynx is examined with a light source such as an electric light, a penlight, or a forehead mirror based on an acquired visual field using a tongue depressor. However, it is extremely difficult to obtain objective and reproducible images of tissue within the pharynx required in recent years with these methods, and insufficient progress in the examination tools has been made. There is an increasing need to develop a method for display during oropharyngeal examination. We conducted the present study to develop a novel oropharyngeal endoscope as an objective observation method. |
| キーワード | tongue depressor oropharyngeal scope oral pharyngeal otorhinolaryngology |
| Amo Type | Clinical Study Protocol |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2018-12 |
| 巻 | 72巻 |
| 号 | 6号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 611 |
| 終了ページ | 614 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2018 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 30573918 |
| NAID | 120006545166 |
| JaLCDOI | 10.18926/56344 |
|---|---|
| タイトル（別表記） | Change of Ōtaue Related with Regional Transformation : A Case of Hida District, Yasugi City, Shimane Prefecture |
| フルテキストURL | hss_046_043_063.pdf |
| 著者 | 髙野 宏| |
| 出版物タイトル | 岡山大学大学院社会文化科学研究科紀要 |
| 発行日 | 2018-11-26 |
| 巻 | 46巻 |
| 開始ページ | 43 |
| 終了ページ | 63 |
| ISSN | 1881-1671 |
| 言語 | 日本語 |
| 著作権者 | Copyright (c) 2018 岡山大学大学院社会文化科学研究科 |
| 論文のバージョン | publisher |
| NAID | 120006540161 |
| フルテキストURL | K0005802_abstract_review.pdf K0005802_fulltext.pdf K0005802_summary.pdf |
|---|---|
| 著者 | 松本 洋| |
| 発行日 | 2018-09-27 |
| 資料タイプ | 学位論文 |
| 学位授与番号 | 甲第5802号 |
| 学位授与年月日 | 2018-09-27 |
| 学位・専攻分野 | 博士（医学） |
| 授与大学 | 岡山大学 |
| 言語 | 英語 |
| JaLCDOI | 10.18926/AMO/56246 |
|---|---|
| フルテキストURL | 72_5_487.pdf |
| 著者 | Hamasaki, Ichiro| Shibata, Kiyo| Shimizu, Takehiro| Morisawa, Shin| Toshima, Shinji| Miyata, Manabu| Furuse, Takashi| Hasebe, Satoshi| Ohtsuki, Hiroshi| Morizane, Yuki| Shiraga, Fumio| |
| 抄録 | We investigated variances in the stability and amount of postoperative exodrift among age groups of intermittent exotropia (XPT) patients who underwent unilateral lateral rectus muscle recession and medial rectus muscle resection. We analyzed the cases of 110 consecutive patients who underwent the surgery in 2004-2011, dividing the patients into groups by their age at surgery: <10, 10-19, and ≥20 years. We performed a regression analysis (dependent variable: postoperative exodrift (°); independent variable: number of days post-surgery) using the formula of curve lines. When the tangent line slope was = 0.01 (°/days) for each group, we defined the numbers of days until alignment became stable as the ‘stable days.’ We evaluated the between-group differences in the amount of exodrift calculated for the stable days. The coefficients and coefficients of determination for the fitting curves were: <10 year group: f(x)=12.2 (1−e−0.0183x) (r2=0.588, p<0.05); 10-19 year group: f(x)=10.0 (1−e−0.0178x) (r2=0.453, p<0.05); ≥20 year group: f(x)=3.40 (1−e−0.0382x) (r2=0.217, p<0.05). There were 389 , 388, and 153 stable days, and the estimated postoperative exodrift with long-term follow-up was 11.5±3.7°, 9.3±4.4°, and 4.1±3.6° for the < 10 year, 10-19 year, and ≥ 20 year groups, respectively (≥20 year vs. other 2 groups, p<0.05). Longer periods and more postoperative exodrift were associated with younger age at surgery. The postoperative evaluation was approx. ≥ 1 year post-surgery in patients aged < 20. These findings may contribute to evaluating XPT’s success rate and prognoses. |
| キーワード | intermittent exotropia postoperative exodrift recession resection procedure strabismus surgery |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2018-10 |
| 巻 | 72巻 |
| 号 | 5号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 487 |
| 終了ページ | 492 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2018 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 30369605 |
| JaLCDOI | 10.18926/AMO/56244 |
|---|---|
| フルテキストURL | 72_5_467_n.pdf |
| 著者 | Vika Fatafehi Hala’ufia Lemoto| Sugimoto, Kentaro| Kanazawa, Tomoyuki| Matsuzaki, Takashi| Morimatsu, Hiroshi| |
| 抄録 | We investigated the incidence of desaturation during general anesthesia in preoperatively hypoxic (< 92%), and nonhypoxic (≥ 92%) pediatric (n=1,090) and adult (n=5,138) patients. We plotted the patients’ SpO2 value time-courses and assessed desaturation in 6,228 patients. The crude overall incidence (95%CI) for desaturation was 11.1% (9.4-13.1) in the pediatric patients and 0.9% (0.6-1.2) in the adults. The crude incidence of desaturation in the hypoxic pediatric patients was 2.5 times the risk in the nonhypoxic patients: risk ratio (RR) 2.5 (1.8-3.5), p<0.001. The risk of desaturation in the hypoxic adult patients was 20.1 times the risk in the nonhypoxic adult patients: RR 20.1 (10.3-39.2), p<0.001. When the patients were separately stratified by American Society of Anesthesiologists Physical Status (ASA-PS) and by age, the directly adjusted risk-ratio (RRS) showed that the hypoxic pediatric patients had 1.8 and 1.6 times the risk in the nonhypoxic pediatric patients: ASA-PS adjusted RRS 1.6 (1.8-2.2), p<0.001; age-adjusted RRS 1.8 (1.3-2.5), p<0.001, and the hypoxic adult patients had 13.8 times the risk in the nonhypoxic adult patients: RRS 13.8 (6.9-27.6), p<0.001. A pulse-oximeter check before the start of general anesthesia could ensure timely preparation to avoid intraoperative desaturation. |
| キーワード | desaturation incidence pulse oximetry general anesthesia adult pediatric |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2018-10 |
| 巻 | 72巻 |
| 号 | 5号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 467 |
| 終了ページ | 478 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2018 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 30369603 |
| JaLCDOI | 10.18926/AMO/56243 |
|---|---|
| フルテキストURL | 72_5_457.pdf |
| 著者 | Muto, Noriko| Matsuoka, Yoshikazu| Arakawa, Kyosuke| Kurita, Masako| Omiya, Hiroki| Taniguchi, Arata| Kaku, Ryuji| Morimatsu, Hiroshi| |
| 抄録 | Quercetin is a flavonoid widely found in plants and marketed to the public as a supplement. Several studies have reported its effect on glial cells. This study aimed to examine the effect of quercetin on the development of neuropathic pain and the underlying mechanism in a spared nerve injury (SNI) rat model. Male Sprague-Dawley rats randomly assigned to the control or the quercetin group were subjected to SNI of the sciatic nerve. We measured pain behaviors on the hind paw and glial fibrillary acidic protein (GFAP) in the dorsal root ganglion (DRG) and spinal cord. Oral administration of 1% quercetin, begun before surgery, attenuated mechanical allodynia compared to the control group at days 7 and 10 after SNI. On the other hand, established pain was not attenuated in a post-dose group in which quercetin was begun 7 days after SNI. Quercetin inhibited GFAP in the satellite glial cells of the ipsilateral L5 DRG on day 7 compared to the control group. Quercetin suppressed the development of neuropathic pain through a mechanism partly involving the inhibition of satellite glial cells. As its safety is well established, quercetin has great potential for clinical use in pain treatment. |
| キーワード | flavonoid dorsal root ganglion glial fibrillary acidic protein alternative medicine |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2018-10 |
| 巻 | 72巻 |
| 号 | 5号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 457 |
| 終了ページ | 465 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2018 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 30369602 |
| タイトル（別表記） | The Birth of a Satirical Writer (2) : Jonathan Swift’s Thought in His Early Years |
|---|---|
| フルテキストURL | olj_68_1_067_086.pdf |
| 著者 | 岸本 広司| |
| 出版物タイトル | 岡山大學法學會雜誌 |
| 発行日 | 2018-09-07 |
| 巻 | 68巻 |
| 号 | 1号 |
| 開始ページ | 67 |
| 終了ページ | 86 |
| ISSN | 0386-3050 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120006517777 |